The California Department of Health issued a new All Facilities Letter (AFL) providing updated guidance on exposure risk assessment and quarantine duration for healthcare personnel (HCP) exposed to SARS-CoV-2 in hospitals and skilled nursing facilities (SNFs). The updated guidance includes risk assessment and quarantine recommendations for HCP who have been fully vaccinated against SARS-CoV-2. HCP with higher risk exposure should generally be excluded from work, but asymptomatic HCP may discontinue quarantine after day 10 from the date of last exposure. During critical staffing shortages, exposed asymptomatic HCP can return after day 7 from the date of last exposure if they have received a negative PCR test result. Vaccinated HCP with higher risk exposure may continue to work onsite during their post-exposure period if they meet specific criteria. SNF residents should continue to quarantine for 14 days following exposure, regardless of vaccination status.

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